独参汤 回生丹
22.堕胎暴下血不止, 面黄唇白独参汤, 恶血不出凝胀痛, 回生益母
酌相当.
【注】妊娠胎堕后, 血暴下不止, 面黄唇白者, 名脱荣, 宜用独参汤
峻补其气, 以生其血, 所谓无形能生有形也. 若恶血瘀滞不行, 腹胁
胀痛者, 宜于回生丹, 益母丸, 酌其虚实缓急相当而用之.
回生丹 见产后汇方
23.子死腹中须急下, 舌青腹痛冷如冰, 时久口中秽气出, 寒热峻缓
详斟平.
【注】凡一应伤胎, 子死腹中者, 须当急下, 勿使上奔心胸. 然必验
其舌青面赤, 肚腹胀大, 腹冷如冰, 久之口中有秽气出者, 方可议下
.然犹必审其人之虚实寒热, 或宜寒下, 热下, 峻下, 缓下, 随其宜
而施之.
佛手散 平胃散加芒硝方
24.下胎缓剂佛手散, 峻剂平胃加芒硝, 宜热宜寒须细审, 产妇虚实
莫溷淆.
【注】孕妇子死腹中, 宜下者, 缓下用佛手散, 峻下用平胃散加芒硝
.或宜寒下, 或宜热下, 须细细详审而投之. 盖以产母之虚实, 或缓
,或峻, 不可溷淆轻率, 以致误也.
佛手散 方见首卷
25.妊娠一切垂危后, 母子存亡可预推, 面赤舌青必子死, 面青舌赤
母命危, 面舌俱青口吐沫, 子母俱亡二命亏.
【注】凡妊娠一切凶危之候, 欲知母子存亡者, 当于孕妇面, 舌之色
定之. 若面赤舌青, 则其子必死; 面青舌赤, 则其母必亡; 若面舌二
者俱见青色, 口角两边流涎沫者, 则子母二命俱不能保也.
22. 堕胎后突然大量出血不止，面色萎黄、嘴唇苍白者，用独参汤；恶露（瘀血）排出不畅导致腹部胀满疼痛者，选用回生丹或益母丸，根据病情虚实缓急斟酌使用。
【注】妊娠期间胎堕之后，如果血液突然大量流出不止，面色萎黄、嘴唇苍白，这称为“脱荣”（气随血脱），适宜使用独参汤大补元气，以生化血液，这就是所谓“无形之气能生有形之血”。如果是恶露瘀滞不行，腹部和胁肋部胀痛，适宜在回生丹、益母丸中，根据患者虚实的状况以及病情的缓急，酌情选择恰当的药物使用。
回生丹 见产后汇方
23. 胎儿死于腹中必须紧急攻下，舌色发青、腹部冷痛如冰，时间久了口中散发秽臭之气，寒热证候需仔细权衡平定。
【注】凡是因外伤等原因导致胎死腹中的情况，必须立即采取攻下法排出死胎，防止死胎之气上冲心胸。但是必须验证患者舌色发青、面色红赤、肚腹胀大、腹部冷如冰，且时间久了口中有秽臭之气散出，才可以讨论使用攻下法。然而还必须详细审察患者的虚实寒热状况，或者适宜寒性攻下，或者适宜热性攻下，或者峻猛攻下，或者缓和攻下，根据其适宜的情况来施治。
24. 下胎的缓和剂型用佛手散，峻猛的剂型用平胃散加芒硝，适宜寒下还是热下必须仔细审察，产妇的虚实状况不可混淆。
【注】孕妇胎死腹中，需要攻下的，缓和攻下使用佛手散，峻猛攻下使用平胃散加芒硝。或者适宜寒性攻下，或者适宜热性攻下，必须细细详审后投药。因为要根据产母的虚实状况，决定是用缓下还是峻下，不可混淆轻率，以致造成误治。
佛手散 方见首卷
25. 妊娠期间一切垂危之后，母子存亡可以预先推断，面赤舌青必定是胎儿死亡，面青舌赤必定是母亲生命垂危，面舌俱青且口吐涎沫，母子两条命都保不住。
【注】凡是妊娠期间一切凶险危急的症状，想要知道母子存亡情况的，应当通过观察孕妇的面色和舌色来确定。如果面色红赤、舌色发青，那么胎儿必定死亡；如果面色发青、舌色红赤，那么母亲必定死亡；如果面色和舌色两者都呈现青色，嘴角两边流涎沫的，那么母子两条命都不能保全了。
Dushen Decoction (Single Ginseng Decoction) Huisheng Dan (Revival Pill)
22. In cases of abortion with sudden, profuse bleeding that does not stop, and where the complexion is sallow and lips are pale, use Dushen Decoction (Single Ginseng Decoction). If lochia (postpartum discharge containing blood and tissue) is stagnant and fails to exit, causing abdominal distension and pain, select Huisheng Dan (Revival Pill) or Yimu Wan (Motherwort Pill), choosing appropriately based on the deficiency/excess nature and urgency of the condition.
[Note] After an abortion during pregnancy, if blood flows out suddenly and profusely without stopping, accompanied by a sallow complexion and pale lips, this is termed "Tuo Rong" (Collapse of Essence/Qi following blood loss). It is appropriate to use Dushen Decoction (Single Ginseng Decoction) to vigorously tonify Qi, thereby generating Blood. This illustrates the principle that "formless Qi can generate formed Blood." If lochia is stagnant and obstructed, causing distension and pain in the abdomen and hypochondrium, one should choose between Huisheng Dan (Revival Pill) and Yimu Wan (Motherwort Pill), selecting the suitable formula according to the patient's deficiency/excess status and the urgency of the disease.
Huisheng Dan (Revival Pill) See Postpartum Formulas Collection.
23. When the fetus dies in the uterus, urgent purgation is required; a cyan tongue and cold, ice-like abdominal pain indicate severity. Prolonged retention leads to foul breath from the mouth; the nature of Cold/Heat must be carefully weighed for treatment.
[Note] In any case where trauma causes the fetus to die in the uterus, urgent purgation must be employed to expel the dead fetus, preventing its pathogenic influence from rushing upward to the heart and chest. However, one must verify signs such as a cyan tongue, red face, abdominal distension, coldness of the abdomen like ice, and the emission of foul odor from the mouth after some time, before discussing the use of purgation. Furthermore, it is essential to carefully examine the patient's deficiency/excess and Cold/Heat patterns. Treatment may involve Cold-purgation, Heat-purgation, vigorous purgation, or gentle purgation, applied according to what is most suitable.
Foshou San (Buddha's Hand Powder) Pingwei San (Stomach-Pacifying Powder) plus Mangxiao (Mirabilite)
24. For gentle expulsion of the fetus, use Foshou San (Buddha's Hand Powder); for vigorous expulsion, use Pingwei San (Stomach-Pacifying Powder) added with Mangxiao (Mirabilite). Whether Cold-purgation or Heat-purgation is indicated requires careful examination; do not confuse the deficiency/excess states of the parturient woman.
[Note] If a pregnant woman has a dead fetus in the uterus requiring expulsion, use Foshou San (Buddha's Hand Powder) for gentle purgation, and Pingwei San (Stomach-Pacifying Powder) added with Mangxiao (Mirabilite) for vigorous purgation. Whether Cold-purgation or Heat-purgation is appropriate must be meticulously examined before administering medication. One must consider the deficiency/excess state of the mother to decide between gentle or vigorous purgation, avoiding confusion or rashness to prevent misdiagnosis and error.
Foshou San (Buddha's Hand Powder) See Volume 1.
25. In all critical conditions during pregnancy, the survival of mother and child can be predicted in advance: Red face and cyan tongue indicate fetal death; cyan face and red tongue indicate maternal danger; both face and tongue cyan with frothy saliva indicate the death of both mother and child.
[Note] In all critical and dangerous manifestations during pregnancy, to determine the survival of the mother and child, one should judge based on the color of the pregnant woman's face and tongue. If the face is red and the tongue is cyan, the fetus is certainly dead. If the face is cyan and the tongue is red, the mother is certainly in mortal danger. If both the face and tongue appear cyan, and there is salivation/froth at the corners of the mouth, then neither the mother nor the child can be saved.